Senior Practicum Medication And I.V Administration
Senior Practicum Medication And I.V Administration
Exam (elaborations)
Lab Exam 2: Medication Administration Exam Questions And Answers
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Senior Practicum Medication And I.V Administration
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Senior Practicum Medication And I.V Administration
routine med orders - ANS carried out until the provider cancels or the number or specified days have elapsed
Provider Responsibilities - ANS Obtain medical history/perform physical exam
Diagnosing
Prescribe meds
Monitor the response to therapy
Modify script as necessary
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Senior Practicum Medication And I.V Administration
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Lab Exam 2: Medication Administration
Exam Questions And Answers
routine med orders - ANS carried out until the provider cancels or the number or specified
days have elapsed
Provider Responsibilities - ANS Obtain medical history/perform physical exam
Diagnosing
Prescribe meds
Monitor the response to therapy
Modify script as necessary
one time (single) order - ANS once the drug has been given, you cannot give it again
without a new order
STAT (immediate) order - ANS one time order but must be given immediately
Now/ASAP - ANS given within 90 min depending on what book you read
PRN - ANS as needed
standing order: - ANS written in advance of a situation that is to be carried out under
specific circumstances
Ex: Tylenol for pain 1-3 (mild), one Percocet for pain 4-6 (moderate) and two Percocet for pain
7-10 (severe).
common abbreviations to interpret med orders: - ANS -time
-drug
-route
-measurement/form
(look at pg 129 Callahan book)
Joint Commission "Do Not Use" List - ANS Q.D
QD
QOD
U or IU
MS, MS04, MgS04
.5mg or 1.0mg
, 6 rights of medication administration - ANS Right Client: JCO requires 2 identifiers. Always
check arm band against the MAR and ask client. Bar coding is an adjunct. WTCC: Name, DOB,
MRN.
Right Drug: use generic name, label syringe, check expiration date.
Right Dose: use recommended dose ranges; verify drug calculations with another nurse.
Right Time: consider interactions with food/other meds, most facilities have one hour window on
either side but depends on med.
Right Route: different route=different rate of absorption. (IV=most rapid)
Right Documentation: scan all meds every time; do not save until meds have been given.
Always document injection sites.
Right to Refuse.
Right of the client to know the reason for administration, the right assessment, and the right
evaluation (via right response & right reaction- monitor for side effects) + Right to Education.
insulin and antibiotics are examples of: - ANS time sensitive drugs and must be given
within a 30 min window
The Six Rights should be checed three times: - ANS ---If you Do Not Have the Med and
MAR It is Not a Check--
1. When removing the medication.
2. When preparing the medication.
3. In the room with the client.
-FYI: WTCC "policy" in lab and practicum is: Name, DOB and MRN.
When checking drugs; use the generic name because there is a less likely chance of a med
error.
Check One - ANS *Removing Meds From ADS*
A. Take MAR to ADS
B. log on to ADS and choose client
C. *Compare client's name and MRN on ADS with MAR*
D. At ADS, select the medication that is due for the client
E. Take the medication out of appropriate pocket.
F. Compare medication label with MAR (side by side) as you read:
-name
-dose
-route
-frequency
-time medication to be administered
-expiration date
G. Repeat steps D.E. and F until all meds have been removed
H. Log off the ADS
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